NSG 434 Final Exam | Questions with Verified Answers

NSG 434 Final Exam | Questions with Verified Answers SATA: why are adolescents prone to injury a. Impulsivity b. Peer pressure c. Belief that they are invulnerable d. Desire to master environment e. Engagement in process of separation from parents SATA: hemophilia a. Bleeding in the joints b. Ecchymosis (bruising) c. Caused by missing clotting factor d. X-linked recessive inherited disorder (only boys) b. X-Recessive Problem with clotting factor c. Autosomal dominant disorder causing deficiency in a factor involved in the blood-clotting reaction d. X-linked recessive inherited disorder causing deficiency of platelets and prolonged bleeding e. X-linked recessive inherited disorder in which a blood-clotting factor is deficient f. Y-linked recessive inherited disorder in which the red blood cells become moon shaped ANS: (between c, d, e, f) ANS is C if not SATA SATA: signs of moderate dehydration a. Slightly elevated HR b. Dry mucous membranes c. Irritability d. Normal cap refill SATA: Duchenne muscular dystrophy (DMD) a. Lordosis b. Gowers sign c. Frequent falls d. Waddling gait Med math 800 1090 mL/day (maintenance fluids) 81.8 Concern for child who recently had a tonsillectomy -Continuous swallowing Prednisone SE -Mood changes or GI upset (smart bitch said it makes you eat more) - Its gi distress if that's an option on the test What shows appropriate teaching to parent of kid with AIDS? -I will notify the HCP if my child has a cough Not a sign of cancer -Excessive, rapid weight gain Not a sign or symptom of Kawasaki -Nonproductive cough (Dry cough) When do immunization typically start? -Birth When to give influenza vaccine? - 6 months S/S vitamin D toxicity - Weakness and headache (lassitude also another one but wasn't a choice) Which does not cause a sickle cell crisis? - Afebrile Adequate nutrition fluid overload Post cardiac Cath procedure. What needs further teaching -Leg elevated and flexed Baby with pyloric stenosis. What is the main symptom from the parent -Blood tinged vomit Leg Calf Perchs Syndrome -Limp (with or without pain) Leg Calf Perchs Syndrome (another question on it but can't remember) - I think it was something about normal activity? The nurse hides the toy and the baby shows that there is object permanence -The baby knows it is still there even though she cannot see it Mother doesn't want infant immunized due to pain. What should you tell the mother? - Topical anesthetic can be applied before injections Cerebral palsy -Something about baclofen -botox for spasms How to decrease chance of rheumatic fever→ cannot remember if this was one -Send to get throat cultures for sore throat Best way to assess brain activity - Assess LOC When examining an infant, how should you examine them? -On the parents lap if on the lap leave them and continue assessment Peritoneal dialysis has cloudy drainage, Report to HCP Child comes in with increased cranial pressure (for hydrocephalus) what does the nurse suspect? -Obstruction to flow of CSF Obstruction in flow of CSF Shunt→ comes in with increased ICP Kid has low platelet count (gives number and is really low) what should the nurse implement - Soft toothbrush What does not cause asthma exacerbation - Diabetes Patho about acromegaly - Oversecretion of growth hormone after the closure of epiphyseal plates Child is experiencing s/s of dizziness blurred vision, etc after exercise. What are they experiencing? - Hypoglycemia- low blood sugar What is an inappropriate nursing action when the child has a known wilms tumor -Palpating the abdomen Kid comes to the ER and was unconscious and is conscious now. Then goes unconscious. What would you expect -Epidural hematoma Kid weighs 7 pounds 6/ 7.8 lbs oz at birth. How much will they weigh at 12 months - 23 pounds What is correct about palliative care -Provides pain relief and symptom management What causes delayed sexual development, abnormal dentition, etc., -Hypopituitarism Treatment for osteomyelitis - IV nafcillin for 3-4 weeks math question but was multiple choice regarding urine output for an child -1ml/kg/hr and it gives you the weight in pounds and gives you the UOP conversion The nurse is teaching a group of nursing students about newborns born with a congenital defect of myelomeningocele. What is a common problem associated with this defect - Neurogenic bladder What is the most common problem for children born with a myelomeningocele? 1. Neurogenic bladder 2. Intellectual impairment 3. Respiratory compromise 4. Cranioschisis Myelomeningocele is one of the most common causes of neuropathic (neurogenic) bladder dysfunction among children. Risk of intellectual impairment is minimized through early intervention and management of hydrocephalus. Respiratory compromise is not a common problem in myelomeningocele. Cranioschisis is a skull defect through which various tissues protrude. It is not associated with myelomeningocele. Kid has tumor on soft tissue around eye area or orbit -Rhabdomyosarcoma Pavlik understanding -Only take harness off when bathing and checking skin Further teaching of AIDS?? -My child will be cured Child falls from tree. and fractures fibula in epiphyseal plate. What is the result -Growth can be affected by this type of fracture What is not a goal for a broken femur/needs further education -Mobilization of the leg Nursing intervention for child with hemarthrosis related to hemophilia - Immobilization /elevation of affected joint Sickle cell crisis with big spleen and big liver -Splenic sequestration Intussusception stool - Blood and mucus in stool (was this the answer or was it wired differently?) 18 month child comes in and the anterior fontanelle is closed -Document as a normal finding Lab for hyperparathyroidism -Hypocalcemia (8.5-10.2) Developmental age they choose their meal options and have their procedures explained - School aged Nephrotic syndrome first sign -Facial edema Atopic dermatitis primary goal - Prevent infection Atopic dermatitis and immunocompromised - I put the tacl something like that.. powder one but I don’t know Atopic dermatitis not found on infants - On posterior torso and not on neck Chronic heart failure in a baby. What do you want to do -Cluster nursing care to provide non interrupted sleep Sickle Cell Crisis precipitating factors - Anything that increased energy (exercise/sports), trauma, infection, fever, physical/emotional stress, dehydration, hypoxia, cold weather Was there a question about reyes syndrome???-- I think there was something about the toxicity?? -Metabolic encephalopathy-symptoms are cerebral edema-impaired consciousness- fatty changes in the liver- NO ASPIRIN and IBUPROFEN for children with varicella or fever- obstruction of CSF Something about the hydrocephalus ventriculoperitoneal shunt and the risk for infection -Answer is ventriculoperitoneal shunt obstruction of CSF Club foot first action